Octagon Medical Supplies, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

OCTAGON MEDICAL SUPPLIES, INC.

Practice address

17700 Northland Park CT
Suite 16
Southfield, MI 48075-4302

Phone

(248) 423-9886

Fax

(248) 423-4570

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Abraham

Title

Administrator

Phone

(248) 423-9886

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528015195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT",
            "address_2": "SUITE 16",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-423-9886",
            "fax_number": "248-423-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT",
            "address_2": "SUITE 16",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-423-9886",
            "fax_number": "248-423-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGON MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-423-9886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Obuzor, FNP
• Occupational Health Centers of Michigan, P.C.
• Tameka A Ochieng, RPH
• Ocie Drake, Jr, DDS, PC
• Erin Oconnell
• Khalid Ibrahim Odeh, M.D.
• Lelyan Odeh
• Kimberly Odneal, RN
• Olukayode Ade Oduwole, PA
• Odyssey Healthcare Holding Company

• Oxygen Equipment & Supplies (DME) in Southfield, MI
• Providers in Southfield, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.